Active NPI
Damita Watkins Amick, MPT
- Pediatric Physical Therapist
- Greensboro, NC
National Provider Identifier
1619254950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 13476
- Practice address
- 3511 W Market St Ste B
Greensboro, NC 27403-4442 - Phone
- (336) 294-3338
- Fax
- (336) 294-6696
- NPI assigned
- Nov 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 13476 | Primary |
Addresses
Primary practice location
3511 W Market St Ste B
Greensboro, NC 27403-4442
Mailing address
3511 W Market St Ste B
Greensboro, NC 27403-4442
Phone (336) 294-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1619254950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 W MARKET ST STE B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274034442",
"telephone_number": "336-294-3338",
"fax_number": "336-294-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 W MARKET ST STE B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274034442",
"telephone_number": "336-294-3338",
"fax_number": "336-294-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS AMICK",
"first_name": "DAMITA",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": "13476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
- Water Walkers LLC.
- Angela Jennings Waterman, M.D.
- Sarah Elizabeth Campbell Waters
- Elizabeth L Waterson, MS, EDS, LPC, NCC
- Christina Spainhour Watford, MSN, APRN, ACCNS-AG
- Carrie Watkins, MSW, LCSW
- Kimatia Shauntel Watkins, LPCA, NCC, LCMHC
- Melanie Drake Watkins, LPC, LCMHC
- Quentin Watkins, LCSWA
- Promyss Mikala Watley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.